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Brain Imaging - Acupuncture and Osteoarthritis



Brain Imaging - Acupuncture and Osteoarthritis

For Condition: Osteoarthritis
Status: Not yet recruiting
Sponsor(s): National Center for Complementary and Alternative Medicine (NCCAM) ,
Synopsis: The goal of this study is to use single photon emission computed tomography (SPECT) and functional magnetic resonance imaging (f-MRI) of the brain to study the response of both normal participants and participants with Osteoarthritis of the knee to acupuncture.
Details: Recent experimental studies in both animal and humans have begun to demonstrate some measureable physiologic effects that are associated with acupuncture, suggesting the possibility of a neurophysiologic explanation. In addition, brain research continues to uncover a complex set of endogenous neurologic control systems, such that it has become clear that the brain plays a major role in the modulation of pain perception and control. If acupuncture can be demonstrated to have a consistent effect on specific areas of the brain, it will become possible to explore the potential efficacy of acupuncture based on measurable neurophysiologic responses.
Eligibility:
Study Type:
  Interventional, Diagnostic, Randomized, Single Blind, Active Control, Crossover Assignment, Pharmacodynamics Study
Minimum Age/Maximum Age: 40 Years/
Genders: Both
Protocol Entry Criteria: Inclusion criteria: - Seen in an outpatient clinical setting - Have active knee OA of >6 months including Kellgren x-ray changes >2 from an x-ray report <12 months old or new x-ray interpretation - Moderate unilateral only pain (average >4/10 on a 0-10 likert scale) for more than 5 out of 7 days - Have the capacity to understand the requirements of the study and complete the baseline studies in a reasonable time frame, as determined by the interviewer Exclusion criteria: - Having had acupuncture before (must be acupuncture naïve) - Any history of claustrophobia that could affect the subject’s ability to tolerate the f-MRI study - Hip or ankle disease by history or exam severe enough to cause pain >2/10 daily - Bleeding disorder or current use of warfarin or heparin by patient history - Other primary causes of chronic knee pain, per the referring physician, including chondromalacia patella, torn meniscus or ligament injury.
Total Enrollment: 32

Location and Contact Information:

Overall Study Official:
JohnFarrar,  Principal Investigator,  University of Pennsylvania

Hospital of the University of Pennsylvania
Philadelphia,  Pennsylvania,  19104-4283
United States
Andrew  Newberg 215-662-3014


Additional Information:
Study ID Numbers:
  R21 AT000960-01A1; 
Study Start Date: January 2004
Record last reviewed: October 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00070824

Other Osteoarthritis Studies:
1. Glucosamine/Chondroitin Arthritis Intervention Trial (GAIT)

2. Genetic and Immune Studies of Rheumatoid Arthritis and Related Conditions

3. A Study of Orthotic Shoe Inserts for Controlling Osteoarthritic Knee Pain

4. Muscle Strengthening Device for Knee Osteoarthritis

5. Patient Education in Rheumatoid Arthritis and Osteoarthritis

Related Studies:

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Other Philadelphia Clinical Trials

Brain Imaging - Acupuncture and Osteoarthritis

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